Nityanand Pandey & Ankita Mishra
Dr Nagesh Waghmare is serving as a DM Cardiologist at JJ Hospital. He did his MBBS from Grant medical college and MD in general medicine from KM Hospital Parel. He wanted to become a Doctor, but after completing his MBBS studies He decided to choose Cardiology.Then He pursued the Cardiologist training of 3 years DM course from Kolkata. He has done around 450 to 500 angioplasty and around 1000 angiography in the year 2016. His wish is to increase this department further and expand the treatments.
In an exclusive interview with India Unbound Magazine, Dr Nagesh Waghmare shared his experience and dreams as a DM Cardiologist.
- Please tell us about your school and college days and where you were bo
rn and brought up?
-I did my schooling at Latur and MBBS from Grant medical college; I did my MD in general medicine from KM Hospital Parel. Then I pursued the Cardiologist training of 3 years DM course from Kolkata.
- Did you always wanted to become a Cardio surgeon since your childhood?
-I wanted to become a Doctor, but after completing my MBBS studies I decided to choose Cardiology.
- What is a Heart attack?
-A heart attack is a medical emergency. A heart attack happens when there is a sudden complete blockage of an artery that supplies blood to an area of your heart. A heart is a muscle, and it needs a good blood supply to keep it healthy. As we get older, the smooth inner walls of the arteries that supply the blood to the heart can be damaged and narrow due to the buildup of fatty materials, called plaque. When an area of plaque breaks, blood cells and other parts of the blood stick to the damaged area and form blood clots. A heart attack occurs when a blood clot completely blocks the flow of blood and seriously reduces blood flow to the heart muscle. This also results in patients experiencing chest pain. As a result, some of the heart muscle starts to die. The longer the blockage is left untreated, the more the heart muscle is damaged. If the blood flow is not restored quickly, the damage to the heart muscle is permanent.
- What is the role of a heart in Human body?
-The Heart is a very important organ in a human body that pumps blood throughout the body via the circulatory system, supplying oxygen and nutrients to the tissues and removing carbon dioxide and other wastes.
- Can you explain what happens to the patient during a heart attack?
-The patients may feel tightness or pain in the chest, neck, back or arms, as well as fatigue, lightheadedness, abnormal heartbeat and anxiety. Women are more likely to have atypical symptoms than men. The patients having diabetes may feel mild or severe. Heart attack pain sometimes feels like indigestion or heartburn. Shortness of breath may occur with or before chest discomfort.
- How many types of Heart attack occur in Human body?
-Ultimately heart attack occurs when a blood clot blocks blood flow to the heart. Scientifically we divide heart attack in five groups. As in many cases after accident the patient has a blood loss that called hypotension, then after operations people may get heart attack. We first find the reason of heart attack and then divide it into 5 parts.
- What are the 5 major symptoms of Heart attack?
• Pressure, tightness, pain, or a squeezing or aching sensation in your chest or left arm that may spread to your neck, jaw or back
• Nausea, indigestion, heartburn or abdominal pain
• Shortness of breath
• Cold sweat
• Lightheadedness or sudden dizziness
- What measures heart patients require to do when suffering from Heart diseases?
-Firstly I would say that as soon as you feel something is going wrong in your heart don`t become a doctor of your own, you should directly consult a Cardiologist and get an ECG done without wasting time.
- What is angiography?
-Angiography or arteriography is a medical imaging technique used to visualize the inside, or lumen, of blood vessels and organs of the body, with particular interest in the arteries, veins and the heart chambers. This is traditionally done by injecting a radio-opaque contrast agent into the blood vessel and imaging using X-ray based techniques such as fluoroscopy.
- What is the difference between Angioplasty and Bypass surgery?
-A bypass is a surgical procedure to restore normal blood flow to an obstructed coronary artery. A normal coronary artery transports blood to and from the heart muscle itself, not through the main circulatory system and Angioplasty is a minimally invasive, endovascular procedure to widen narrowed or obstructed arteries or veins, typically to treat arterial atherosclerosis. A deflated balloon attached to a catheter (a balloon catheter) is passed over a guide-wire into the narrowed vessel and then inflated to a fixed size. The balloon forces expansion of the blood vessel and the surrounding muscular wall, allowing an improved blood flow. A stent may be inserted at the time of ballooning to ensure the vessel remains open, and the balloon is then deflated and withdrawn. Angioplasty has come to include all manner of vascular interventions that are typically performed percutaneously.
- What is the percentage in India of Heart attack patients?
-The percentage is increasing day by day. The percentage varies for Urban as well as rural population, for Urban is around 14 % and Rural is around 7%.
- During operation of Bypass surgery, what is the risk factor to the patients?
– We categories risk of the patient as the risk varies from patient to patient. The patients who are elderly, we look for some parameters and devise a score; we usually follow STS Score or Euro score if the scores are high than the risk of open heart surgery Anastasia is very high. Usually it is below 5% now a days it is below 2% out of 100 surgeries done. One or two patients may die that is the risk and the patients who are very elder who are having kidney or lungs problems whose injection fraction is very low those patients have high risk for this surgery.
- How many angioplasty or bypass surgery you have successfully operated with your team?
– I do angioplasty, In JJ Hospital whole team does around 4000 cases per year and in 2016 I did around 450 to 500 angioplasty and around 1000 angiography.
- What measures should govt. take to control the numbers of heart patients in the country?
-Prevention is always better than cure. There are two things one is to increase the awareness about the risk factors and how to prevent a normal person from having this disease. Awareness is very important. Other is to increase the infrastructure so that patient can get the treatment at the earlier stage so that those patients who come in heart failure can be operated. Early treatment will help the patient live Healthy and long life. Creating awareness to prevent this disease is the long term solution.
- Can children also get a Heart disease?
-Children are commonly affected by anomalies, development anomalies by birth while development of the heart as an organ the baby may develop congenital heart disease. This disease we come to by doing the fetal echo and we can be prepared after the birth.
- Being a cardiologist & surgeon what is your expectation from Maharashtra govt and govt of India for Cardio department?
-Government is doing their part of work good, but what we need is long term policies in the form of the infrastructure and it should be available in each and every district and being a specialist doctors must be allowed to work in more than one hospitals. So that our time can also be utilized and maximum different categories of people can also get attention of cardiologist.
- What is the latest research or surgery worldwide for heart patients?
-New version of stents with better technology, better quality of the stents material which will have better outcomes of optimum lizard and less complications in future for doing angioplasty. In addition to that there are new things like now we have OCT. OCT will tell us about the vessels status inside so that better dimensions of stents can be selected and that will be good to reduce the future occurrence of problems.
- JJ is a Maharashtra Government known hospital how you feel working here?
-I feel very proud being associated with this hospital because it is one of the high volume centers and here we get to treat poor to poorest people and we give them best quality treatment in the form of state and also they get timely treatment. We do their treatment as early as possible. Our motto is timely treatment and best quality treatment. I feel very proud and satisfying working with JJ Hospital because we can addressed to poorest patients who are refused or not able to afford the treatment from private sector.
- What is your wish to be fulfilled?
-My wish is to increase this department further, expand the treatment. We want to increase our work in congenital heart disease.
- What is your future aspiration?
-My future aspiration is to keep serving more and more patients; hopefully god gives me strength to be in service for longer duration.
- Who is your Role model?
-My role model is Mahatma Gandhi and in my segment my Role Model is Dr T P Lahane. I have been seeing him from last 15 years, he is continuously working from 18 to 20 hours a day and doing his maximum for the society.
- How you spend your leisure time?
-I spend my time with my family and even do some exercise also.
- Which sports do you like?
-During my collage days I use to play volley ball.
- What suggestions or advice you would like to give to the students who want to become a Cardiologist?
-Those who want to be doctors their priority in life should be to serve the patient. They should never privatize earning money, here what matters is quality service and sympathy towards the healing patients so that attitude and virtual should be cultivated before you become a Doctor.
- What precautions we need to take to be safe from heart disease?
-Now days it is very easy to avoid the heart disease. You should check your blood pressure your blood sugars regularly. Start diet modification and exercises. Exercise is the best part to be safe from any disease; at least 30 mins to one hour daily activity will help you to stay away from the heart disease.
- What message would you like to give to Mumbaikers?
-Mumbaikars are the busiest people in the country everyone at least should exercise 30 to 60 minutes every day and they should stay away from smoking and unhealthy diet. TAKE CARE.
Dr. Krishnanand Pandey’s vision for Dr. Nagesh Waghmare
He is not only a cardiac surgeon but, also a confident man; who takes complete care of his patients. He gives full confidence and assurance for a living. He stands in between life and death so that, the patient stay away from fear of death. He teaches and provides power and force to fight against the ailment (disease). I personally appreciate his punctuality, peculiarity and humanity and best guidance for living. I am thankful to him for saving my life and at the same time to India Unbound editorial team for giving me a chance to deliver few golden words to Dr. Nagesh Waghmare.
FREE HEART CHECK UP CAMP IN MURUD JANJIRA
Some of the camp and awareness lecture photos @Murud Janjira Dr. Nagesh Waghmare, DM Cardiologist, JJ Group of Hospitals & Team